在"全身内"的关节镜 Broström 程序期间,表面关节神经处于危险之中:尸体研究
Sung Hwan Kim1, Jae Hyuck Choi2, Sang Heon Lee1
1Department of Orthopaedic Surgery, Soonchunhyang University Hospital Bucheon, 170, Jomaru-ro, Wonmi-gu, Bucheon-si 14584, Republic of Korea.
Medicina (Kaunas, Lithuania)
|June 28, 2023
概括
慢性脚不稳定性的关节镜Broström手术可能会损害中间表面骨神经. 这项尸体研究确定了位于下延伸视网膜的前侧门口附近的特定"危险区域".
科学领域:
- 整形外科手术 整形外科手术
- 人体解剖学 解剖学 解剖学
- 运动医学 运动医学
背景情况:
- 慢性脚不稳定通常用关节镜 Broström 程序来治疗.
- 神经靠近外科门户对于手术安全至关重要.
- 在下延伸性视网膜的中间表面神经上的解剖学数据是有限的.
研究的目的:
- 为了划出中间表面神经和神经之间的解剖关系.
- 为了确定中间表面神经与下延伸视网膜的前侧门相对的精确位置.
主要方法:
- 11个下肢的尸体剖析.
- 测量从前侧门口到关键解剖结构的距离,使用数字口径.
- 对神经位置和距离的统计分析,包括平均值±标准偏差.
主要成果:
- 靠近的中间表面经神经位于距离前侧门口15.9 ± 4.1毫米处.
- 远端中间表面经神经位于距离前侧门口30.1±5.5毫米处.
- 部神经位于更远的地方,距离门口大约47毫米.
结论:
- 在关节镜Broström手术过程中,中间表面部神经面临阳性损伤的风险.
- 在下延伸视网膜的前侧门口15.9毫米 (近端) 和30.1毫米 (远端) 内的特定区域应被视为高风险区域.
- 对这些解剖学发现的认识可以提高外科手术的安全性,并可能减少与神经有关的并发症.
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